| NPI | 1346428174 |
|---|---|
| Other Name | SPS-INTERNAL MEDICINE WEST FOURTH ST |
| Entity Type | Organization |
| Authorized Contact | CHARLES SANTANGELO Executive VP CFO 570-321-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-12-15 |